Zur Notwendigkeit der chirurgischen Berücksichtigung der Level I und IIB im Rahmen der Neck Dissection bei Plattenepithelkarzinomen des Oropharynx, des Hypopharynx und des Larynx

Das Thema der Dissertation ist die Notwendigkeit der chirurgischen Berücksichtigung der Level I und IIB im Rahmen der Neck Dissection bei Plattenepithelkarzinomen des Oropharynx, des Hypopharynx und des Larynx. Das Vorhandensein von Halslymphknotenmetastasen ist einer der wichtigsten prognostisch...

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Bibliographic Details
Main Author: Esters, Judith
Contributors: Sesterhenn, Andreas (Dr.) (Thesis advisor)
Format: Dissertation
Language:German
Published: Philipps-Universität Marburg 2009
Hals- Nasen- und Ohrenheilkunde
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Table of Contents: Neck dissection of level I and level IIb requires time-consuming preparations and is accompanied by heightened morbidity. However, the question arises when dissection at patients suffering from oropharynx-, hypopharynx- or larynx-squamous cell carcinoma can be abandoned without risking deterioration of the resulting oncological outcome. In the present study low rates of metastasis of levels I and IIB in patients with oropharynx-, hypopharnyx and laryinx-caricnoma and clinical N0 neck could have been proven. These findings result in a recommendation of selective neck dissection and conversation of level I and IIB in these cases. Contrary, patients suffering from a oropharynx-, hypopharynx- or larynx-carcinoma and clinical N+ neck had comparatively high rates of metastasis of level I and IIB. Both regions should be included in neck dissection in cases of N+ -situation.